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10.1177/1470320314543910

http://scihub22266oqcxt.onion/10.1177/1470320314543910
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suck abstract from ncbi


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      J+Renin+Angiotensin+Aldosterone+Syst 2015 ; 16 (2 ): 234-48
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  • ACE-inhibition increases podocyte number in experimental glomerular disease independent of proliferation #MMPMID25143333
  • Zhang J ; Yanez D ; Floege A ; Lichtnekert J ; Krofft RD ; Liu ZH ; Pippin JW ; Shankland SJ
  • J Renin Angiotensin Aldosterone Syst 2015[Jun]; 16 (2 ): 234-48 PMID25143333 show ga
  • OBJECTIVE: The objective of this article is to test the effects of angiotensin-converting enzyme (ACE)-inhibition on glomerular epithelial cell number in an inducible experimental model of focal segmental glomerulosclerosis (FSGS). BACKGROUND: Although ACE-inhibition has been shown to limit podocyte loss by enhancing survival, little is known about its effect on podocyte number following an abrupt decline in disease. METHODS: Experimental FSGS was induced with cytotoxic antipodocyte antibody. Following induction, groups were randomized to receive the ACE-inhibitor enalapril, the smooth muscle relaxant hydralazine (blood pressure control) or drinking water. Blood pressure, kidney function and histology were measured seven and 14 days following disease induction. RESULTS: Both glomerulosclerosis and urinary albumin-to-creatinine ratio were less in the ACE-inhibition arm at day 14. At day 7 of disease, mean podocyte numbers were 26% and 29% lower in the enalapril and hydralazine arms, respectively, compared to normal mice in which no antibody was injected. At day 14, the mean podocyte number was only 18% lower in the enalapril arm, but was 39% lower in the hydralazine arm compared to normal mice. Podocyte proliferation did not occur at any time in any group. Compared to water- or hydralazine-treated mice with FSGS, the enalapril arm had a higher mean number of glomerular parietal epithelial cells that co-expressed the podocyte proteins WT-1 and synaptopodin, as well as phospho-ERK. CONCLUSION: The results show following an abrupt decline in podocyte number, the initiation of ACE-inhibition but not hydralazine, was accompanied by higher podocyte number in the absence of proliferation. This was accompanied by a higher number of parietal epithelial cells that co-express podocyte proteins. Increasing podocyte number appears to be accompanied by reduced glomerulosclerosis.
  • |Angiotensin-Converting Enzyme Inhibitors/pharmacology/*therapeutic use [MESH]
  • |Animals [MESH]
  • |Antibodies/metabolism [MESH]
  • |Blood Pressure/drug effects [MESH]
  • |Cell Count [MESH]
  • |Cell Proliferation/drug effects [MESH]
  • |Enalapril/pharmacology/therapeutic use [MESH]
  • |Endpoint Determination [MESH]
  • |Epithelial Cells/drug effects/metabolism/pathology [MESH]
  • |Extracellular Signal-Regulated MAP Kinases/metabolism [MESH]
  • |Glomerulosclerosis, Focal Segmental/chemically induced/*drug therapy/*pathology/physiopathology [MESH]
  • |Mice [MESH]
  • |Microfilament Proteins/metabolism [MESH]
  • |PAX2 Transcription Factor/metabolism [MESH]
  • |Phosphorylation/drug effects [MESH]
  • |Podocytes/drug effects/enzymology/*pathology [MESH]
  • |Protein Binding/drug effects [MESH]
  • |Repressor Proteins/metabolism [MESH]
  • |Systole/drug effects [MESH]


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